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World-Famous Hospitals Helped Boston Cope With Bombing
When bomb victims were wheeled into the Tufts Medical Center Emergency Department, the medical personnel was in place, ready for them.
"We already had our emergency management team up and running before the bombs ever went off," said Dr. Brien Barnewolt, the chief of emergency medicine. Tufts is ready for Marathon Monday every year.
Tufts is world famous. It's certified1 to handle the most severe injuries. Its Level 1 pediatric and adult trauma2 center is a two-minute drive from the bomb site. In fact, six top-notch hospitals that admitted bomb patients are within a 3.5-kilometer radius3 of the Marathon finish line. And, when it comes to trauma, time saves lives.
"The fact we had hospitals here that we could distribute patients to areas of expertise4 and do definitive5 care and stabilizing6 care right away certainly saved lives. No question about that. And I'm sure it saved limbs as well," explained Dr. Barnewolt.
And here's another reason. Many Boston hospitals have training areas that replicate7 trauma scenarios9.
Tufts University School of Medicine has a clinical skills and simulation center where medical students and hospital trauma teams get trained. VOA is the first TV station permitted inside since its opening four years ago.
For practice, the patient is a remote-controlled mannequin who blinks and cries. The team has to figure out what's wrong and treat him. The instructors10 are watching from behind a two-way mirror, which allows them grade the team.
"We train and when we think we have everything nailed down, we train again," explained Dr. Horacio Hojman.
Dr. Hojman says that increases efficiency. "When we receive patients, everything works like clockwork. Nobody has to talk. We don't have to talk," he explained.
The team knows where they need to stand. They know what the next movement is, and that really helps the patients, as it did on Monday night. A show of hands indicated that the entire team was working in the emergency department.
"It was tough to get your mind around," recalled a nurse. "But in situations like this, we just all get to work.”
The simulation program doesn't include a scenario8 for bomb injuries. After this week, it may have to add one.
1 certified | |
a.经证明合格的;具有证明文件的 | |
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2 trauma | |
n.外伤,精神创伤 | |
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3 radius | |
n.半径,半径范围;有效航程,范围,界限 | |
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4 expertise | |
n.专门知识(或技能等),专长 | |
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5 definitive | |
adj.确切的,权威性的;最后的,决定性的 | |
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6 stabilizing | |
n.稳定化处理[退火]v.(使)稳定, (使)稳固( stabilize的现在分词 ) | |
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7 replicate | |
v.折叠,复制,模写;n.同样的样品;adj.转折的 | |
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8 scenario | |
n.剧本,脚本;概要 | |
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9 scenarios | |
n.[意]情节;剧本;事态;脚本 | |
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10 instructors | |
指导者,教师( instructor的名词复数 ) | |
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